Healthcare Compliance and Coding Exam
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Medicare program - Correct answers✔✔Made up of several parts affected by the Centers for
Medicare and Medicaid Services - hierarchal condition categories (CMS-HCC).
Healthcare providers - Correct answers✔✔Responsible for developing policies and procedures
regarding privacy in their practices.
Covered entity - Correct answers✔✔May obtain consent of the individual to use or disclose
protected health information for treatment, payment, and healthcare operations.
Effective compliance plan - Correct answers✔✔Should include 7 components.
AAPC Code of Ethics - Correct answers✔✔Members shall use only legal and ethical means in
all professional dealings.
Medicare Part D - Correct answers✔✔Prescription drug coverage available to all Medicare
Beneficiaries.
Covered entity under HIPAA - Correct answers✔✔Medicare, Medicaid, and Worker's'
Compensation are covered entities; BCBS is NOT.
2012 OIG Work Plan - Correct answers✔✔Prioritizes review of E/M services during the global
surgery periods.
,Muscle attachment to bone - Correct answers✔✔Attached by tendons, ligaments, aponeurosis,
and directly to bone.
Myasthenia gravis - Correct answers✔✔Affects the neuromuscular junction.
Respiratory structure - Correct answers✔✔Trachea is comprised of cartilage and ligaments.
Nutrient movement order - Correct answers✔✔Nutrients move through the large intestine in the
order: cecum, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, anus.
Neurotransmitters - Correct answers✔✔Chemicals which relay, amplify, and modulate signals
between a neuron and another cell.
Escharotomy - Correct answers✔✔Procedure best described as removal of scar tissue resulting
from burns or other injuries.
Diaphragm - Correct answers✔✔The dome-shaped muscle under the lungs flattening during
inspiration.
Endocardium - Correct answers✔✔A thin membrane lining the chambers of the heart and valves.
Vesiculotomy - Correct answers✔✔Defined as surgical cutting into the seminal vesicles.
Cryosurgery - Correct answers✔✔Destruction of lesions of the vulva using extreme cold.
Primigravida - Correct answers✔✔Term describing a woman in her first pregnancy.
, Colostrum - Correct answers✔✔A form of milk produced the first few days after giving birth.
Pancreatic islet cells - Correct answers✔✔Root for pertaining to pancreatic islet cells is insul/o.
Sialography - Correct answers✔✔An x-ray of the salivary glands.
Provider (ICD-10-CM guidelines) - Correct answers✔✔Refers to the physician.
Superficial injury example - Correct answers✔✔An injury such as a blister.
HIV code usage (B20) - Correct answers✔✔Used when the test result is confirmed by the
physician's diagnostic statement.
Fracture aftercare examples - Correct answers✔✔Follow-up for healed fracture, cast change,
medication adjustment.
Classification instructions precedence - Correct answers✔✔Take precedence over Official
Coding Guidelines.
Diagnosis code for spastic cerebral palsy due to meningitis - Correct answers✔✔G03.9, G80.1.
Diagnosis code for polyneuropathy and sarcoidosis - Correct answers✔✔G63, D86.9.
Diagnosis code for breast lump with family history of cancer - Correct answers✔✔N63, Z85.3.
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Medicare program - Correct answers✔✔Made up of several parts affected by the Centers for
Medicare and Medicaid Services - hierarchal condition categories (CMS-HCC).
Healthcare providers - Correct answers✔✔Responsible for developing policies and procedures
regarding privacy in their practices.
Covered entity - Correct answers✔✔May obtain consent of the individual to use or disclose
protected health information for treatment, payment, and healthcare operations.
Effective compliance plan - Correct answers✔✔Should include 7 components.
AAPC Code of Ethics - Correct answers✔✔Members shall use only legal and ethical means in
all professional dealings.
Medicare Part D - Correct answers✔✔Prescription drug coverage available to all Medicare
Beneficiaries.
Covered entity under HIPAA - Correct answers✔✔Medicare, Medicaid, and Worker's'
Compensation are covered entities; BCBS is NOT.
2012 OIG Work Plan - Correct answers✔✔Prioritizes review of E/M services during the global
surgery periods.
,Muscle attachment to bone - Correct answers✔✔Attached by tendons, ligaments, aponeurosis,
and directly to bone.
Myasthenia gravis - Correct answers✔✔Affects the neuromuscular junction.
Respiratory structure - Correct answers✔✔Trachea is comprised of cartilage and ligaments.
Nutrient movement order - Correct answers✔✔Nutrients move through the large intestine in the
order: cecum, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, anus.
Neurotransmitters - Correct answers✔✔Chemicals which relay, amplify, and modulate signals
between a neuron and another cell.
Escharotomy - Correct answers✔✔Procedure best described as removal of scar tissue resulting
from burns or other injuries.
Diaphragm - Correct answers✔✔The dome-shaped muscle under the lungs flattening during
inspiration.
Endocardium - Correct answers✔✔A thin membrane lining the chambers of the heart and valves.
Vesiculotomy - Correct answers✔✔Defined as surgical cutting into the seminal vesicles.
Cryosurgery - Correct answers✔✔Destruction of lesions of the vulva using extreme cold.
Primigravida - Correct answers✔✔Term describing a woman in her first pregnancy.
, Colostrum - Correct answers✔✔A form of milk produced the first few days after giving birth.
Pancreatic islet cells - Correct answers✔✔Root for pertaining to pancreatic islet cells is insul/o.
Sialography - Correct answers✔✔An x-ray of the salivary glands.
Provider (ICD-10-CM guidelines) - Correct answers✔✔Refers to the physician.
Superficial injury example - Correct answers✔✔An injury such as a blister.
HIV code usage (B20) - Correct answers✔✔Used when the test result is confirmed by the
physician's diagnostic statement.
Fracture aftercare examples - Correct answers✔✔Follow-up for healed fracture, cast change,
medication adjustment.
Classification instructions precedence - Correct answers✔✔Take precedence over Official
Coding Guidelines.
Diagnosis code for spastic cerebral palsy due to meningitis - Correct answers✔✔G03.9, G80.1.
Diagnosis code for polyneuropathy and sarcoidosis - Correct answers✔✔G63, D86.9.
Diagnosis code for breast lump with family history of cancer - Correct answers✔✔N63, Z85.3.
